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Individual

AMY FRANCES UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2251 E EUCLID AVE, BENTON HARBOR, MI 49022-9210
(773) 677-8921
Mailing address
226 TERRITORIAL RD, BENTON HARBOR, MI 49022-3436
(773) 677-8921

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056009168
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
1198
HI
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201009379
MI

Other

Enumeration date
04/26/2011
Last updated
01/18/2017
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